Pseudostrabismus: an audit

331 children presenting with pseudostrabismus were assessed retrospectively; 24% of 77 ametropes developed a true convergent squint. Only 1.65% of 243 emmetropes developed a true squint, an incidence much less than in an unselected group. A close follow-up of emmetropic children presenting with pseudostrabismus would seem to be unjustified.